Not yet—minimally invasive/percutaneous bunion surgery is widely used and can achieve outcomes comparable to open techniques in selected patients, but it remains technique- and surgeon-experience dependent, and “best procedure” is still unsettled.

What the evidence supports (2026 clinical framing)

• Effectiveness vs open: Trials comparing open vs minimally invasive chevron osteotomies show similar clinical and radiographic outcomes, with MIS typically smaller scars/shorter operative time.7
• Across procedures: Higher-quality syntheses of hallux valgus surgery show no clear overall best surgical procedure, and “complex” vs “simple” osteotomies have similar pain outcomes (with possible higher reoperation after complex osteotomies).9
• MIS series data: Modern third-generation MIS chevron/Akin (MICA) case series report significant deformity correction, early weightbearing, high satisfaction, and low reoperation in experienced hands.5

Why it’s not universally “standard of care”

• Reproducibility & learning curve: Outcomes can be heavily technique dependent and not always reproducible across surgeons/centers; demanding learning curves are highlighted in expert commentary.3
• Procedure selection still individualized: There are >150 described procedures, and choice depends on deformity pattern, instability, arthritis, and surgeon expertise.4, 9

Practical implication for referrals/consent

• Reasonable to offer when the surgeon has documented MIS volume/outcomes and the deformity is suitable; otherwise open osteotomy remains a fully accepted standard option.3, 5, 7